TY - CHAP M1 - Book, Section TI - Thrombocytopenia and Thrombocytopathy A1 - Epstein, Jeremy A1 - Nguyen, Vinh A2 - Freeman, Brian S. A2 - Berger, Jeffrey S. Y1 - 2016 N1 - T2 - Anesthesiology Core Review: Part Two Advanced Exam AB - Formation of a hemostatic plug can be broken down into primary hemostasis and secondary hemostasis. Primary hemostasis involves platelet adhesion, change in platelet shape, platelet aggregation, and secretion of platelet factors. Secondary hemostasis involves the activation of the coagulation cascade. Platelets play a vital role in the formation of a hemostatic plug. Platelets are originally produced in the bone marrow as fragments of the cytoplasm from megakaryocytes, which circulate in the blood for 7–10 days. The normal circulating platelet count is 150,000–450,000/μL and approximately 15,000–45,000/μL platelets are made per day to maintain a steady state. At any given time, up to one-third of all platelets are transiently sequestered in the spleen. The likelihood of bleeding is inversely proportional to platelet function and count. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1135741198 ER -